HomeMy Public PortalAbout8610 ROCCUS LN_Electrical__ 76A683-Cg6`O6 3-64
r APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
,DEPARTMENT OF COUNTY ENGINEER BUILDING ee
•`: BUILDING AND SAFETY DIVISION ADDRESS
-JOHN A. LAMBIE. COUNTY ENGINEER i
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN [CROSS 8T.
RECEPT 0 TOTAL NO. IEACH FEE
��LIGHT OUTLETS FIRST 201101$.20 20 � OWNER l
p �,u ' ® MAIL 3/
�B f
SWITCH.OU OVER 20 .10 ADDREB
LIGHTING
TOTAL FIRST 20 20 CI EL.NO.
l 1 .
FIXTURES 1 ADDrL ,1O ELECTRICIA '
OV R 20
RANGES .DRYER WTR.HTRS. 1.00 ADDRESS
ARB.DIS COO �
CITY EL.NO.
AUTO.-WASH. SE
CB NTRB .P.M ,SO A •LICETATNSE NO. �+ "
MOTORSI OVER NOT OVER H.P. DISTRIX NO. GROUP ZONE P CESSED BY
0 1 1.00 J
I 9 1.50 INSPECTION RECORD �.
n.
9 S 2.00 0
U
S
to 2.50 y
Is 50 13.00 0
U
s0 100 5.00 W
a
N
81GN81 NO,TRANS. Z
NO.LAMP/
SERVICE O.SOOV-NOT OVER 200A 1.00
SERVICE O.SOOV-OVER 200 A. 2:00
SERVICE OVER SOOV 5,00
MISC. '
PERMIT ISSUING FEE 8.00
SUPPLEMENTARY PERMIT ISSUING FEB 1.00
TOTAL FEEd .
1
1 NKREBY ACKNOWLEDGE THAT 1 HA READ THIS APP APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T CONDUIT A
WITH ALL•COUNTY ORDINANCES AND STATE LAWS RE U 1 -
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTER56 AND/OR
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF T E ABOVE
DESCRIBED RESIDENTI L-PR E ' POWER
SIGNATURE UTILITY CO.NOTIFIED r
OF IyERMITTEE
FINAL I�� � . ..dl.�l+✓ _
LIDATION ARTHUR C. VEIT
CK MO CASHSUPERVISING ELECTRICAL ENGINEER
�Fl�,0 4 0 1 8 2 SEP 21 2 A 18.6 O N